DR. Anissa Derrouche, DMD

NPI #1386851996 in Charlestown, Massachusetts

Provider Information

NPI Number: 1386851996
Entity Type: Individual
Name: DR. Anissa Derrouche, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 16, 2007
Last Updated: Oct 1, 2024

Practice Location

Address: 529 MAIN ST STE 209
City: Charlestown
State: Massachusetts
ZIP Code: 02129-1135
Phone: (617) 241-9220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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